| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.54 | $50.99 | $74.56 | |
Aetna
| Professional | $39.22 | $49.78 | $62.15 | |
Anthem BCBS
| Professional | $27.44 | $39.86 | $51.64 | |
CareSource
| Facility | $39.13 | $52.83 | $65.59 | |
CareSource
| Professional | $39.13 | $57.54 | $76.36 | |
Cigna
| Facility | $66.28 | $66.28 | $66.28 | |
Cigna
| Professional | $44.82 | $61.54 | $119.40 | |
Molina
| Professional | $32.34 | $32.34 | $57.58 | |
United
| Professional | $51.96 | $67.06 | $97.75 |